An advanced practice nurse observes a novice nurse expressing irritability regarding a patient with a long history of alcoholism and suspects the new nurse is experiencing countertransference. Which comment by the new nurse confirms this suspicion?

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Question 1 of 5

An advanced practice nurse observes a novice nurse expressing irritability regarding a patient with a long history of alcoholism and suspects the new nurse is experiencing countertransference. Which comment by the new nurse confirms this suspicion?

Correct Answer: B

Rationale: The correct answer is B because it indicates a personal connection and emotional reaction from the nurse due to her past experiences with alcoholic parents, suggesting countertransference. Choice A focuses on the patient's denial, not the nurse's reaction. Choice C pertains to the patient's lack of goals, not the nurse's feelings. Choice D relates to the patient's comment about the nurse, not the nurse's emotional response. In summary, B is correct as it directly reflects the nurse's personal history impacting her feelings towards the patient, while the other choices do not address the nurse's emotional reaction.

Question 2 of 5

The nurse is working as part of the interdisciplinary staff of a psychiatric inpatient facility who are developing discharge plans for a patient who requires alternative housing arrangements. The patient will be referred to a personal care home. When explaining this housing arrangement to the patient, which of the following would the nurse include?

Correct Answer: D

Rationale: The correct answer is D because personal care homes typically house a small number of residents (6-10 people) and provide 24-hour supervision by health care attendants. This option aligns with the concept of personal care homes offering a more intimate and personalized level of care compared to larger facilities. Choice A is incorrect because personal care homes are not typically run by families, and the level of supervision provided is more formal and professional. Choice B is incorrect as personal care homes do not usually involve residents living in apartments with roommates. Choice C is incorrect because personal care homes typically do not house 50 people together and provide more personalized care in smaller groups.

Question 3 of 5

During the stabilization phase of drug therapy for a patient who is hospitalized with a psychiatric disorder, which action would be most appropriate?

Correct Answer: D

Rationale: The correct answer is D because during the stabilization phase, assessing the patient for target symptoms and side effects is crucial to ensure the medication is working effectively without causing harm. This step allows healthcare providers to monitor the patient's progress, adjust the medication dosage if needed, and address any emerging side effects promptly. A: Discussing the timing of tapering the medication is premature during the stabilization phase as the focus should be on monitoring the patient's response to the current medication regimen. B: Instructing the patient about relapse prevention is important but more relevant during the maintenance phase rather than the stabilization phase. C: Determining if the medication is losing its effect can be part of the assessment but is not the most appropriate action during the stabilization phase where the primary focus is on monitoring symptoms and side effects.

Question 4 of 5

A 3-year-old child has been admitted to the hospital after an automobile accident. Which statement by the nurse would be most appropriate when discussing the type of behavior the parents can expect their child to display while hospitalized?

Correct Answer: B

Rationale: The correct answer is B: Your child may seem unduly anxious in the presence of strangers. This response is most appropriate as it aligns with the typical behavior of young children who have experienced a traumatic event like an automobile accident. Children at this age may exhibit increased anxiety and fear when around unfamiliar individuals due to the stress and uncertainty of their situation. This behavior is a common reaction to trauma. Choice A is incorrect because while changes in appearance may impact the child, it is not the most immediate concern in this scenario. Choice C is incorrect as guilt feelings are less likely to be prominent in a 3-year-old child. Choice D is also incorrect as mood swings are not the primary behavior expected in this situation, and the statement lacks specificity compared to the appropriate response.

Question 5 of 5

The nurse is caring for a family whose older father with dementia is living in their home. The nurse has instructed the family about how to decrease the father's agitation. The nurse determines that the son has understood the nurse's instructions when he states which of the following?

Correct Answer: D

Rationale: The correct answer is D. Simplifying the home environment can reduce agitation in a person with dementia by minimizing distractions and confusion. This approach promotes a calm and safe environment for the father. Restraints (A) are not recommended as they can lead to physical and psychological harm. Placing the father in the bedroom (B) may cause feelings of isolation and worsen agitation. Taking him out shopping (C) may overstimulate and confuse him further, increasing agitation. Simplifying the home environment aligns with best practices for managing dementia-related agitation.

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